Physician

Mikhail Kirnus, MD

According to 2025 Medicare claims, Mikhail Kirnus, MD (NPI: 1922272228) practices cardiology in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Grand Forks, ND. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1043309552; TIN: 450310462) and primary practice location at 58201-4012. Kirnus is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), CVS ACO (ACO ID: A5407), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Kirnus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,194 traditional Medicare patients, billed 3,093 HCPCS/CPT codes, and received $158,564 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,797 prescription claims across 433 beneficiaries totaling $183,736 in drug costs, led by Eliquis (Apixaban). 2019 DME data shows 11 claims. Open Payments data shows 78 records totaling $2,361. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $126,705 and ending at $183,736. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,491	3,315	$150,813
2016	1,110	2,376	$125,710
2017	727	1,792	$153,183
2018	766	1,982	$164,024
2019	1,150	2,414	$179,419
2020	2,016	3,582	$173,583
2021	1,758	3,090	$150,709
2022	1,745	2,998	$142,030
2023	1,697	2,868	$133,642
2024	2,194	3,093	$158,564

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	391	3,086	$126,705
2016	355	2,537	$123,735
2017	235	1,213	$76,143
2018	214	1,318	$129,333
2019	278	2,028	$247,322
2020	250	1,006	$82,443
2021	228	1,121	$64,498
2022	313	1,703	$114,920
2023	342	1,590	$156,592
2024	433	1,797	$183,736

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	11	$1,773
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	11	$25,005
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	315	$70
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	1,565	1,599	$50
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	68	115	$38
93308	Ultrasound of heart, follow-up	82	87	$18
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	218	258	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	99	3,727	$70,127
Xarelto	Rivaroxaban	26	1,009	$18,345
Entresto	Sacubitril/Valsartan	20	720	$15,860
Farxiga	Dapagliflozin Propanediol	20	840	$15,800
Brilinta	Ticagrelor	28	960	$13,802

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	78	$2,361	ShockWave Medical, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Mikhail Kirnus, MD?

Tedicare shows public-source Medicare data for Mikhail Kirnus, MD (NPI 1922272228), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Mikhail Kirnus, MD have ACO affiliation data?

Mikhail Kirnus, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), CVS ACO (MSSP, ACO ID A5407), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Mikhail Kirnus, MD?

Mikhail Kirnus, MD is linked to ALTRU HEALTH SYSTEM (billing NPI 1043309552) in the available physician profile data.

Does Mikhail Kirnus, MD have Open Payments data?

Mikhail Kirnus, MD has 78 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.